RN Case Manager – Intermediate

Jobtailor; San Antonio (TX); On-site; USD 75,000 - 95,000; Full time

Job summary

Jobtailor in Texas seeks an experienced registered nurse to lead case management, discharge planning, and patient advocacy, coordinating care across teams to improve outcomes.

You will assess needs, plan interventions, monitor results, and educate staff on resource utilization. A Texas RN license and 3 years of clinic/hospital experience are required; Epic experience is highly desirable to optimize EMR workflows.

Qualifications

• Three years of nursing experience in a clinic or hospital setting.
• Current Texas RN license is required.
• Experience in case management or supervisory role.
• Proficiency with EMR and case management software.

Responsibilities

• Manage cases to enhance patient management and satisfaction.
• Promote continuity of care and cost effectiveness through integrating case management and discharge planning.
• Assist with assessment, planning, implementation and evaluation of patient needs; coordinate discharge planning.
• Coordinate integration of social services into patient care and discharge processes with external agencies.
• Advocate for patients; investigate adverse events and evaluate care quality.
• Review utilization from admission to discharge and ensure timely tests and results.
• Educate staff on resource utilization and discharge planning.
• Communicate with physicians regularly to support outcomes and costs.
• Develop and implement patient care policies and protocols.
• Perform other duties as assigned.

Skills

Case management

Interpersonal skills

Motivational interviewing

Communication

Time management

Education

RN license

Tools

Epic

EMR / Case Mgmt Software

Microsoft Office

Job description

Responsibilities

• Manages cases to enhance the quality of patient management and satisfaction.
• Promotes continuity of care and cost effectiveness through integrating functions of case management, utilization review and management, and discharge planning.
• Assists with the provision of ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs; accountable for the care, coordination and discharge planning of all patients.
• Helps to coordinate the integration of social services/case management functions into the patient care, discharge, home planning processes, external service organizations, agencies and healthcare facilities.
• Acts as patient advocate; investigates and reports adverse occurrences; evaluates patient satisfaction and quality of care provided.
• Conducts review for appropriate utilization of services from admission through discharge; ensures that patient tests are appropriate and necessary, completed within the established timeframe and that results are promptly available.
• Performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.
• Communicates with physicians at regular intervals and develops effective working relationships; assists physicians to maintain appropriate cost, case, and desired patient outcomes.
• Participates in the development and implementation of patient care policies and protocols.
• Performs all other duties as assigned.

Requirements

• Three (3) years of nursing experience in a clinic or hospital setting, to preferably include one (1) year of experience in a related patient population (such as utilization management, chronic disease management, home health, hospice).
• Knowledge in a supervisory or quality assurance position in a healthcare environment.
• Case management experience.
• Knowledge as Registered Nurse in a clinical care setting.
• Good interpersonal skills.
• Utilizes influencing/motivational interviewing skills.
• Ability to speak, read, write, and communicate effectively.
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.
• Ability to work independently without supervision.
• Ability to manage multiple priorities, effective organizational and time management skills along with strong teamwork skills.
• Effective computer skills using Microsoft Office (Word, Excel, PowerPoint, etc.) and database software.
• Epic experience highly desirable.
• Demonstrated aptitude and/or proficiency in the use of Electronic Medical Record and Case Management software.
• Current Texas Registered Nurse License is required.

Core Competencies

Demonstrates expertise in case management, patient advocacy, and care coordination, ensuring quality patient outcomes through effective communication and collaboration with healthcare teams. Proficient in utilizing Electronic Medical Records and case management software to enhance patient care processes.